Chapter
1. Suicidal Behavior in Children and Adolescents:
An Introduction and Overview Suicidal Behavior
Suicide-Related Communications
Youth Suicidal Behavior: The Scope of the Problem
Youth Suicide in Perspective
Demographics of Youth Suicide
Common Myths about Youth Suicide
Youth Suicide: When, Where, and How
When Is Youth Suicide Most Likely to Occur?
Where Is Youth Suicide Most Likely to Occur?
How Is Youth Suicide Most Likely to Occur?
The Big Question: Why Do Young People Die by Suicide?
Early Theories of Suicidal Behavior
Contemporary Theories of Suicidal Behavior
Joiner’s Interpersonal–Psychological Theory of Suicidal Behavior
The Importance of Reducing Suffering in Suicidal Youth
2. Youth Suicidal Behavior and the Schools
Suicide Prevention in the Schools
How Effective Are School-Based Suicide Prevention Programs?
Suicide Prevention in the Miami–Dade County Public School District
Components of Comprehensive School-Based Suicide Prevention Programs
Why Should Schools Be Involved in Suicide Prevention?
Liability Issues, Ethical Responsibilities, and Best Practices
Roles and Responsibilities of School-Based Mental Health Professionals
3. A Public Health Approach to Youth Suicide Prevention
Public Health: A Brief Overview
Community-Based Public Health Approaches to Suicide Prevention
Restricting Access to Lethal Means
The Internet and Other Electronic Communication Devices
Public Education about Suicide
The U.S. Air Force Model of Suicide Prevention
Mental Health as Public Health
Applying the Public Health Approach to Schools
Population-Based Mental Health Approaches
An Example of the Public Health Approach Applied to Schools: The Three-Tiered Model
Mental Health, Public Health, Public Policy, and the Schools
4. Universal School-Based Suicide Prevention Programs for All Students
Information Regarding Youth Suicide for All Students and Staff
Variables That Help Explain or Predict Youth Suicidal Behavior
Presence of Mental Health Disorders
Previous Suicidal Behavior
Possible Warning Signs of Suicidal Behavior
Situational Crises, Stressful Life Events, and Precipitants
Teaching Students How and Where to Get Help
Limitations of Student Curriculum Programs
Maximizing Universal Suicide Prevention Program Effectiveness: The Importance of School Climate, School Satisfaction, and School Connectedness
The Example of Praise and Other Universal Strategies for Improving School Climate
5. Identifying At-Risk and High-Risk Students
and Linking Assessment to Intervention Universal Screening Approaches
Linking Suicide Risk Assessment to Intervention
An Overview of Suicide Screening Programs
Advantages of Screening Programs
Challenges in Implementing School-Based Suicide Screening Programs
Ethical and Legal Issues in Student Screening
Other Procedures for Identifying Potentially At-Risk Youth
Identification Based on Demographics and Risk Factors
Identification Based on Referrals from Students or School Staff
Conducting Individual Student Suicide Risk Assessments
The Purpose of School-Based Suicide Risk Assessment
Multimethod Risk Assessment
Interviewing Children and Adolescents
Interviewing Teachers, Other School Personnel, and Parents
Suicide and Nonsuicidal Self-Injury
An Assessment Challenge: Differentiating Self-Injury from Suicidal Behavior
Level of Physical Damage and Potential Lethality
Frequency of the Behavior
Level of Psychological Suffering
Constriction of Cognition
Hopelessness and Helplessness
Psychological Aftermath of the Self-Harm Incident
Suicide and Homicide: Youth Suicidal Behavior and School Shootings
Enhancing Professional Skills in Suicide Risk Assessment
6. Selected and Tertiary Interventions for At-Risk and High-Risk Students
School-Based Selected Interventions for At-Risk Students
Selected Interventions for Depression and Hopelessness
Selected Interventions for Conduct Problems
Selected Interventions for Substance Abuse Problems
Selected Interventions for Increasing Connectedness
School-Based Tertiary Interventions for High-Risk Students
Removing Access to Lethal Means
Making Use of Commitment to Treatment Statements Rather Than No-Suicide Contracts
Notifying Parents/Caregivers
Notifying the Police or Other Community Supports
Preparing for the Student’s Return to School
Other Interventions for Suicidal Youth
Psychosocial Interventions
Medication Issues and Controversies
7. School-Based Suicide Postvention
Goals of School-Based Postvention
A School-Based Suicide Postvention Protocol
Verify That a Death Has Occurred
Mobilize the Crisis Response Team
Assess the Impact of the Suicide on the School and Estimate Required Level of Postvention Response
Notify Other Involved School Personnel
Contact the Family of the Suicide Victim to Express Condolences and Offer Assistance
Discuss with Parents and Family Members Issues Related to the Suicide and the School’s Response
Determine What Information to Share about the Death
Determine How to Share Information about the Death
Identify Students Significantly Affected by the Suicide and Initiate a Referral Mechanism
Conduct a Faculty Planning Session
Initiate Crisis Intervention Services
Conduct Daily Planning Sessions
Plan Memorial Activities and Actions
Debrief Personnel Involved in Postvention Response
Guidelines for Working with the Media
Suicide and Mental Illness
Interviews of Surviving Relatives and Friends
The Distinction between Curing and Healing
Youth Suicide: A Largely Preventable Problem and an Unnecessary Tragedy
APPENDIX A. Student Suicide Case Law in Public Schools
APPENDIX B. Recommended Resources
Suicide Prevention Organizations
Health, Mental Health, and Educational Organizations
General Overviews of Suicide
Suicidal Behavior in Children and Adolescents
Clinical Interviewing, Suicide Risk Assessment, and Managing Suicidal Risk
Assessment and Intervention for Youth Suicidal Behavior and Related Problems
Promoting Child and Adolescent Mental Health, Competence, and Wellness at School
Child and Adolescent Suicidal Behavior
：School-Based Prevention, Assessment, and Intervention
( The Guilford Practical Intervention in the Schools Series )
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